| PLEASE SPECIFY CATEGORY FOR WHICH YOU ARE APPLYING | Self Employed |
|---|---|
| PERSONAL INFORMATION | PERSONAL INFORMATION |
| Title | Ms. |
| First Name | Araceli |
| Middle Name | Malasan |
| Last Name | Samera |
| Place of Birth | San Carlos City Pangasinan |
| Country of Citizenship | phillipines |
| EDUCATION |
|
| Other Eduction | Caregiving Course |
| Current Occupation | Handeling Business |
| Occupation in Years | Store Supervisor |
| Occupation in Months | Cashier |
| LANGUAGE PROFICIENCY | LANGUAGE PROFICIENCY PRINCIPAL APPLICANT |
| English |
|
| French |
|
| MARITAL STATUS | Single |
| LANGUAGE PROFICIENCY SPOUSE | LANGUAGE PROFICIENCY SPOUSE |
| SPOUSE DETAIL | SPOUSE DETAIL |
| CHILDREN'S DETAIL (IF ANY) | CHILDREN'S DETAIL (IF ANY) |
| 1. Name | Chester Samera |
| Date of Birth (mm/dd/yyyy) | 21/07/2011 |
| Place of Birth | San Carlos City Pangasinan |
| 2. Name | Araceli Samera |
| 3. Name | Araceli Samera |
| DO YOU HAVE ANY RELATIVES IN CANADA? | Yes |
| WHERE DO YOU INTEND TO LIVE IN CANADA? | WHERE DO YOU INTEND TO LIVE IN CANADA? |
| City/Town | Canada |
| Province | Saskatwan |
| CONTACT DETAILS | CONTACT DETAILS |
| Address | Bolosan San Carlos City Pangasinan |
| Contact Number | (905) 973-7767 |
| Email Address | Email hidden; Javascript is required. |
Hi, How Can We Help You?
- Address: Madison Centre Tower | 4950 Yonge Street | Suite 1000 | Toronto | Ontario | M2N 6K1
- Email Address: inquiry@cpnis.com
